Musculoskeletal Disease- ATI and Nclex
questions with correct answers
A client has been admitted to the orthopedic floor to have a RKA
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performed. Which of the following statements demonstrates to the
| | | | | | | | |
nurse that the client understands the preoperative teaching?
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"I will...
|
a. have my knee placed in a continuous passive motion machine for 24
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hours a day | |
b.ask for pain medicine whenever the pain gets bad
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c. wear elastic stockings on both legs until i am discharged
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have to stay in bed for a week after my surgery - CORRECT ANSWER✔✔-
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c. wear elastic stockings on both legs until i am discharged
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purpose of elastic stockings is to prevent thrombophlebitis, a common
| | | | | | | | | |
complication after orthopedic surgery | | |
INCORRECT
,a. passive motion machine is usually for a few hours at a time and of a
| | | | | | | | | | | | | | | |
total of 8-12 hrs a day.
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b. client should ask for pain meds BEFORE the pain becomes severe
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d. Ambulation usually begins 48 hr following a TKA
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A client sustains an open fracture of the left femur. An intramedullary
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pin is inserted, and the client is placed in skeletal traction. While
| | | | | | | | | | | |
performing the initial assessment, the nurse finds the client has slipped
| | | | | | | | | | |
down toward the foot of the bed and the traction weight is resting on
| | | | | | | | | | | | | |
the floor. The appropriate nursing action is to...
| | | | | | |
A. Remove the weight and move the client to the correct alignment in
| | | | | | | | | | | | |
bed
B. check for movement of the toes in the left foot
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C. notify the attending orthopedic physician
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D. help the client use the trapeze to pull himself up in bed - CORRECT
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ANSWER✔✔-D. help the client use the trapeze to pull himself up in bed | | | | | | | | | | | |
,The traction is no longer effective when it is resting on the floor. The
| | | | | | | | | | | | | |
nurse should help the client resume his normal position in bed to
| | | | | | | | | | | |
reestablish traction |
A client is discharged after having an open reduction and internal
| | | | | | | | | | |
fixation of a fractured tibia with application of a plaster caste. The nurse
| | | | | | | | | | | | |
teaches the client to evaluate for early signs of decreased circulation r/t
| | | | | | | | | | | |
post surgical edema. The teaching was understood when the client
| | | | | | | | | |
identifies a manifestation of decreased circulation as...
| | | | | |
A. Coldness of the toes
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B. Capillary refill of 3 seconds
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C. Blanching of the nail beds with pressure
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D. Pain at the surgical site - CORRECT ANSWER✔✔-A. Coldness of the
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toes
Decreased venous return from the constriction caused by a cast may
| | | | | | | | | | |
lead to impaired circulation of the foot. Manifestations of impaired
| | | | | | | | | |
circualation include toes that are cold, numb, tingling, or swollen.
| | | | | | | | |
A client with a radial fracture reports itching under the casted area. The
| | | | | | | | | | | | |
appropriate nursing action to relieve itching is to...
| | | | | | |
A. Use a hair dryer on a cool setting to blow air into the cast
| | | | | | | | | | | | | |
, B.elevate the affected extremity | | |
C. Provide a cotton swab to scratch the area
| | | | | | | |
D. Explain to the client that itching is an indication the fracture is healing
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- CORRECT ANSWER✔✔-A. Use a hair dryer on a cool setting to blow air
| | | | | | | | | | | | | |
into the cast
| | |
The cool air will cause vasoconstriction and decrease neural
| | | | | | | | |
transmission of sensation to the affected area | | | | | |
2 days after fracturing his tibia playing lacrosse, a college student is
| | | | | | | | | | | |
brought to the hospital with roommate who reports that client is not
| | | | | | | | | | | |
acting like himself and seems confused. The nurse notes that the client
| | | | | | | | | | | |
has a long leg cast on his right leg and that the client is disoriented to
| | | | | | | | | | | | | | | |
time and place. Vital signs reveal that the client is tachycardia and
| | | | | | | | | | | |
tachypneic, the nurse should assess the client for other signs of
| | | | | | | | | |
a. hypovolemic shock
| |
b. fat embolism
| |
c. thrombophlebitis
|
d. bone malalignment - CORRECT ANSWER✔✔-b. fat embolism
| | | | | | |
Fat embolism syndrome follows long bone fractures. Young men with
| | | | | | | | | |
fractures are at increased riskk of fat embolism,
| | | | | | | |
questions with correct answers
A client has been admitted to the orthopedic floor to have a RKA
| | | | | | | | | | | | |
performed. Which of the following statements demonstrates to the
| | | | | | | | |
nurse that the client understands the preoperative teaching?
| | | | | | | |
"I will...
|
a. have my knee placed in a continuous passive motion machine for 24
| | | | | | | | | | | | |
hours a day | |
b.ask for pain medicine whenever the pain gets bad
| | | | | | | |
c. wear elastic stockings on both legs until i am discharged
| | | | | | | | | |
have to stay in bed for a week after my surgery - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
c. wear elastic stockings on both legs until i am discharged
| | | | | | | | | |
purpose of elastic stockings is to prevent thrombophlebitis, a common
| | | | | | | | | |
complication after orthopedic surgery | | |
INCORRECT
,a. passive motion machine is usually for a few hours at a time and of a
| | | | | | | | | | | | | | | |
total of 8-12 hrs a day.
| | | | |
b. client should ask for pain meds BEFORE the pain becomes severe
| | | | | | | | | | |
d. Ambulation usually begins 48 hr following a TKA
| | | | | | | |
A client sustains an open fracture of the left femur. An intramedullary
| | | | | | | | | | | |
pin is inserted, and the client is placed in skeletal traction. While
| | | | | | | | | | | |
performing the initial assessment, the nurse finds the client has slipped
| | | | | | | | | | |
down toward the foot of the bed and the traction weight is resting on
| | | | | | | | | | | | | |
the floor. The appropriate nursing action is to...
| | | | | | |
A. Remove the weight and move the client to the correct alignment in
| | | | | | | | | | | | |
bed
B. check for movement of the toes in the left foot
| | | | | | | | | |
C. notify the attending orthopedic physician
| | | | |
D. help the client use the trapeze to pull himself up in bed - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-D. help the client use the trapeze to pull himself up in bed | | | | | | | | | | | |
,The traction is no longer effective when it is resting on the floor. The
| | | | | | | | | | | | | |
nurse should help the client resume his normal position in bed to
| | | | | | | | | | | |
reestablish traction |
A client is discharged after having an open reduction and internal
| | | | | | | | | | |
fixation of a fractured tibia with application of a plaster caste. The nurse
| | | | | | | | | | | | |
teaches the client to evaluate for early signs of decreased circulation r/t
| | | | | | | | | | | |
post surgical edema. The teaching was understood when the client
| | | | | | | | | |
identifies a manifestation of decreased circulation as...
| | | | | |
A. Coldness of the toes
| | | |
B. Capillary refill of 3 seconds
| | | | |
C. Blanching of the nail beds with pressure
| | | | | | |
D. Pain at the surgical site - CORRECT ANSWER✔✔-A. Coldness of the
| | | | | | | | | | | |
toes
Decreased venous return from the constriction caused by a cast may
| | | | | | | | | | |
lead to impaired circulation of the foot. Manifestations of impaired
| | | | | | | | | |
circualation include toes that are cold, numb, tingling, or swollen.
| | | | | | | | |
A client with a radial fracture reports itching under the casted area. The
| | | | | | | | | | | | |
appropriate nursing action to relieve itching is to...
| | | | | | |
A. Use a hair dryer on a cool setting to blow air into the cast
| | | | | | | | | | | | | |
, B.elevate the affected extremity | | |
C. Provide a cotton swab to scratch the area
| | | | | | | |
D. Explain to the client that itching is an indication the fracture is healing
| | | | | | | | | | | | |
- CORRECT ANSWER✔✔-A. Use a hair dryer on a cool setting to blow air
| | | | | | | | | | | | | |
into the cast
| | |
The cool air will cause vasoconstriction and decrease neural
| | | | | | | | |
transmission of sensation to the affected area | | | | | |
2 days after fracturing his tibia playing lacrosse, a college student is
| | | | | | | | | | | |
brought to the hospital with roommate who reports that client is not
| | | | | | | | | | | |
acting like himself and seems confused. The nurse notes that the client
| | | | | | | | | | | |
has a long leg cast on his right leg and that the client is disoriented to
| | | | | | | | | | | | | | | |
time and place. Vital signs reveal that the client is tachycardia and
| | | | | | | | | | | |
tachypneic, the nurse should assess the client for other signs of
| | | | | | | | | |
a. hypovolemic shock
| |
b. fat embolism
| |
c. thrombophlebitis
|
d. bone malalignment - CORRECT ANSWER✔✔-b. fat embolism
| | | | | | |
Fat embolism syndrome follows long bone fractures. Young men with
| | | | | | | | | |
fractures are at increased riskk of fat embolism,
| | | | | | | |
